Active NPI
Liberty Regional Foundation, Inc.
Doing business as Liberty Regional EMS
- Ambulance
- Hinesville, GA
National Provider Identifier
1376577627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 089-02
- Legal business name
- LIBERTY REGIONAL FOUNDATION, INC.
- Doing business as
- Liberty Regional EMS
- Practice address
- 474 S Main St
Hinesville, GA 31313-4339 - Phone
- (912) 369-9420
- Fax
- (912) 368-4258
- NPI assigned
- Jul 11, 2006
- Last updated
- May 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca Shuman
- Title
- Adminstrative Coordinator
- Phone
- (912) 369-9420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 089-02 | GA | Primary |
Addresses
Primary practice location
474 S Main St
Hinesville, GA 31313-4339
Mailing address
PO Box 115
Hinesville, GA 31310-0115
Phone (912) 369-9420
Other names 1
- Liberty Regional EMS
National Provider Directory
National Provider Directory- Tax ID family
- Liberty Regional EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Liberty Regional Orthopaedics
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1912732587
Locations
413 S Main St
Hinesville, GA 31313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590019200000",
"number": "1376577627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 115",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313100115",
"telephone_number": "912-369-9420",
"fax_number": "912-368-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 S MAIN ST",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134339",
"telephone_number": "912-369-9420",
"fax_number": "912-368-4258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY REGIONAL FOUNDATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A",
"authorized_official_last_name": "SHUMAN",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "ADMINSTRATIVE COORDINATOR",
"authorized_official_telephone_number": "912-369-9420",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "GA",
"license": "089-02",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Liberty Regional EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Liberty Regional EMS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hinesville, GA
- Liberty County Board of Education
- Liberty County Board of Health (Liberty County Health Department)
- Liberty County Board of Health (Coastal Health District-Brunswick)
- Liberty County Clinic of Chiropractic
- Liberty Emergency Group LLC
- Liberty Regional Medical Center
- Liberty Regional Medical Center
- Liberty Trails Endodontics, LLC (Coastal Endodontics)
- Sarah Nicole Linares Cueto
- Liandra Linares
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.